How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $109.65 Median $112.20 Typical High $112.20 | Facility | None | $109.65 | $112.20 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $112.20 Typical High $186.21 | Professional | None | $107.15 | $112.20 | $186.21 |
Ambetter Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
BCBS Texas Setting Professional Modifier None Typical Low $100.00 Median $125.89 Typical High $204.17 | Professional | None | $100.00 | $125.89 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $190.55 | Professional | None | $107.15 | $125.89 | $190.55 |
Lucent Health Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,348.96 | $1,348.96 | $1,348.96 |
Moda Health Setting Facility Modifier None Typical Low $109.65 Median $114.82 Typical High $169.82 | Facility | None | $109.65 | $114.82 | $169.82 |
Moda Health Setting Professional Modifier None Typical Low $107.15 Median $109.65 Typical High $186.21 | Professional | None | $107.15 | $109.65 | $186.21 |
Molina Setting Professional Modifier None Typical Low $19.95 Median $109.65 Typical High $144.54 | Professional | None | $19.95 | $109.65 | $144.54 |
Oscar Health Setting Professional Modifier None Typical Low $120.23 Median $213.80 Typical High $263.03 | Professional | None | $120.23 | $213.80 | $263.03 |
Providence Setting Facility Modifier None Typical Low $109.65 Median $151.36 Typical High $173.78 | Facility | None | $109.65 | $151.36 | $173.78 |
Providence Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $190.55 | Professional | None | $107.15 | $125.89 | $190.55 |
United Setting Professional Modifier None Typical Low $104.71 Median $134.90 Typical High $181.97 | Professional | None | $104.71 | $134.90 | $181.97 |
Wellpoint Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
United Setting Professional Modifier GQ · Store-and-forward telehealth Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | GQ · Store-and-forward telehealth | $281.84 | $281.84 | $281.84 |
Where Texas sits
The same service costs 2.9 times more in Alaska than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Texas· 48th of 51
$120
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.